1881974442 NPI number — MR. VIRENDRA JASHBHAI PATEL RPH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881974442 NPI number — MR. VIRENDRA JASHBHAI PATEL RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
VIRENDRA
Provider Middle Name:
JASHBHAI
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PATEL
Provider Other First Name:
V
Provider Other Middle Name:
J
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RPH
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1881974442
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4214 CEDAR RIDGE TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77059-3112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-480-2131
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1902 BAYPORT BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEABROOK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77586-2807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-474-1414
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  24358 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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